Any Alternatives to Botox??

Here is a recent article from NY Times regarding alternatives to Botox:
Las Vegas — A versatile pulsed light device
provides effective skin tightening for today’s
discriminating patients,according toStephen
Bosniak,M.D.

The Harmony laser (Alma Lasers)
equipped with the Harmony ST module is
unique because it joins eight modalities — of
pulsed light,UVB,near infrared light,and five
types of lasers — in one system,according to
Dr. Bosniak, an attending surgeon at the
Manhattan Eye,Ear and Throat Hospital and
a Manhattan-based ophthalmic plastic sur-
geon in private practice.

“Our patients now want it all, and their
expectations are exceedingly high,”he says.
InNew York,Dr.Bosniak observes,“Even a
5-year-old can recognize a bad Botox (botu-
linum toxin,Allergan) treatment.”When this
treatment first became available, he says,“It
was like magic,and not everyone knew about
it.Now,everyone knows.And it can’tbe over-
done — it must be perfect.”

Newer noninvasive modalities
Similar expectations apply tonewer noninva-
sivemodalities for facetightening and lifting,
Dr.Bosniak says.

“We must not only tighten and lift,” he
says,“but wemust treat skin texture,pigmen-
tation and broken capillaries at the same
time.” Therefore, he says that if there’s a
modality that tightens and lifts,“then wehave
to introduce a second modality to help with
the pigmentation and telangiectasias”tomeet
patient demands.

Inhis practice,he says he frequently com-
bines the Harmony laser with nonsurgical
treatments including botulinum toxin injec-
tions, fillers, radiofrequency (RF) skin tight-
ening and photodynamic therapy.

“They all have their place when used
together,”Dr.Bosniak says.